Book a free Intro call today to discuss your treatment options for Freiberg’s Disease
The Sajid Shariff clinic is the leading, private orthopaedic Kent-based clinic that can help, listen and advise on a wide range of treatments for Freiberg’s Disease. Book a free Intro call with our Medical Secretary to discuss the treatment options available.
The Sajid Shariff clinic is a private orthopaedic clinic based in SE London and Kent that specialises in surgical and non-surgical treatment of foot and ankle conditions including Freiberg’s Disease, plantar fasciitis, ankle sprains, bunions and achilles tendonitis.
Keep an eye on the shape of your feet; if you see changes see a doctor to find out if there are any recommendations to prevent hallux valgus from forming
Use a variety of exercises to stretch your feet and calves
Try to avoid shoes that have a heel or pointed toe
History and examination are important in the diagnosis of Freiberg’s Disease as in early presentation there is often no changes to be seen on X-ray. MRI scans can help to clarify the diagnosis with a change in signal seen on the scan. More advanced disease will be seen on X-ray as flattening of the joint surface of the metatarsal head and eventually arthritis of the MTPJ with sometimes loose bodies and osteophyte (bone spur) formation.
Treatment of the early stages of the disease is aimed at relieving pain and maintaining the normal shape of the joint. This is done by offloading the joint in an orthopaedic shoe or boot. If pain persists then steroid injections can help.
Surgical treatment of a 2nd or 3rd MTPJ that has developed arthritic changes poses a challenge. Debridement of the joint by smoothing out the rough edges, removing loose bodies and bone spurs has been shown to improve pain and stiffness but often the patient will continue to experience some symptoms. In some cases, a Weils osteotomy (cutting the bone) to shorten the metatarsal and bring it to a more elevated level can be successful at improving symptoms.